Healthcare Provider Details

I. General information

NPI: 1912868043
Provider Name (Legal Business Name): FAITHFUL HANDS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3481 WHITBY LN
HIGH RIDGE MO
63049-3248
US

IV. Provider business mailing address

3481 WHITBY LN
HIGH RIDGE MO
63049-3248
US

V. Phone/Fax

Practice location:
  • Phone: 636-399-8083
  • Fax: 636-677-5300
Mailing address:
  • Phone: 636-399-8083
  • Fax: 636-677-5300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. VINCENT JAY KOVARIK
Title or Position: OWNER
Credential:
Phone: 636-399-8083